Bursary Application for:

The EULAR 10th Postgraduate Course 2008 

EULAR - Bursary Application System
Electronic application form

Please fill out the form carefully. All fields marked with * must be filled out

Personal information
Family name* First name(s)*
Address street 1* Address street 2
Zip code* City*
Gender* Female       Male
Country*
Phone number* Fax number
Email* Date of birth*
Working unit information
Academic degree* Date of thesis*
Unit name*
Unit address 1* Unit address 2
Unit zip code* Unit city*
Unit country*
Unit phone number* Unit fax number
Reason for application*
Additional information and supporting documents
I have received a bursary from EULAR in previous years No    Yes (Please specify below)
course, congress, year, amount in EUR etc.
Document Attachment:
Please select the files to be uploaded by clicking the button below on right side of the upload field(s).
Only Word documents (.doc or .rtf) and Acrobat (.pdf) can be attached.

Please make sure your uploaded document(s) is properly formatted and not protected by a password.

Important information for Mac-users:
Please ensure your files are named properly including a file extension like doc, rtf or pdf.
Upload your CV*
Upload list of most recent publications
Please be aware that this procedure can last for several minutes.
You will receive a confirmation on your screen after successful submission.